Background: Urine cultures are nonspecific and often lead to misdiagnosis of urinary tract infection and unnecessary antibiotics. Diagnostic stewardship is a set of procedures that modifies test ordering, processing, and reporting in order to optimize diagnosis and downstream treatment. In this...
Recent Resources
Optimal Urine Culture Diagnostic Stewardship Practice-Results from an Expert Modified-Delphi Procedure
Covid-19 Vaccines — Immunity, Variants, Boosters
The coronavirus disease 2019 (Covid-19) pandemic has claimed an estimated 15 million lives, including more than 1 million lives in the United States alone. The rapid development of multiple Covid-19 vaccines has been a triumph of biomedical research, and billions of vaccine doses have been...
International normalized ratio and activated partial thromboplastin time testing
International normalized ratio (INR) and activated partial thromboplastin time (aPTT) have limited clinical utility
The INR and aPTT should be used only for specific clinical indications (see Appendix 1, available at...
Effects of salt substitutes on clinical outcomes: a systematic review and meta-analysis
Objectives The Salt Substitute and Stroke Study (SSaSS) recently reported blood pressure-mediated benefits of a potassium-enriched salt substitute on cardiovascular outcomes and death. This study assessed the effects of salt substitutes on a breadth of outcomes to quantify the consistency of the...
Treatment of Clostridioides difficile Infection
GUIDELINE TITLE ACG Clinical Guidelines: Prevention,
Diagnosis, and Treatment of Clostridioides difficile Infections
RELEASE DATE May 18, 2021
PRIOR VERSION 2013
DEVELOPER American College of Gastroenterology (ACG)
FUNDING SOURCE ACG
TARGET POPULATION Adults...
Fixed drug eruption
A 31-year-old woman presented to the dermatology department with an asymptomatic erythematous patch on the dorsum of her right foot.
Occupational hypersensitivity pneumonitis after polyurethane adhesive exposure
Key points
• Hypersensitivity pneumonitis is a type of interstitial lung
disease that requires early diagnosis and treatment as it may
lead to progressive pulmonary fibrosis.
• An occupational history is essential when evaluating patients
with respiratory symptoms....
The Effectiveness of Intraosseous Basivertebral Nerve Radiofrequency Ablation for the Treatment of Vertebrogenic Low Back Pain: An Updated Systematic Review with Single-Arm Meta-analysis
Objective. To provide an estimate of the effectiveness of basivertebral nerve (BVN) radiofrequency ablation (RFA) to
treat vertebrogenic low back pain (LBP). Design. Systematic review with single-arm meta-analysis. Population.
Persons 18 years of age with chronic LBP associated with...
Therapy for Mild to Moderate Asthma
GUIDELINE TITLE Global Strategy for Asthma Management
and Prevention (GINA Strategy Report)
RELEASE DATE April 26, 2021
PRIOR VERSION April 3, 2020
DEVELOPER AND FUNDING SOURCE The Global Initiative for
Asthma (GINA)
TARGET POPULATION Patients aged 12 y with...
Women’s health update: A literature review impacting primary care
The authors review studies on key issues in women’s health with potential impact on internal medicine practice. The reviewed articles discuss cardiovascular disease risks, bone health, breast cancer genetics, cervical cancer prevention, depression in the peripartum period, pelvic pain, and...